Individual
KYLA OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 US HIGHWAY 2 W, HAVRE, MT 59501-6000
(406) 265-1854
Mailing address
3180 US HIGHWAY 2 W, HAVRE, MT 59501-6000
(406) 265-1854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-30976
MT
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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